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• <br /> • <br /> Execution in Counterparts <br /> This Agreement shall be executed in counterparts, each of which shall be deemed an original, but all of <br /> which together shall constitute one and the same agreement. <br /> IN WITNESS WHEREOF, V i 1106 C, of PC]I Irn Giro 130N , FLORIDA, <br /> by its Commission / Council attest, that this Agreement be executed in its name by the Manager or his <br /> designee, attested by the Clerk or Legal Representative. <br /> Co-Permittee selection of Activities detailed in Attachment "A": <br /> Activity 1 (Water Monitoring) <br /> [>Q Yes, we wish to participate <br /> [ ] No, but we reserve the right to request participation in subsequent fiscal years <br /> Activity 2 (Best Management Practices, BMP) <br /> [X] Yes, we wish to participate <br /> [ ] No, but we reserve the right to request participation in subsequent fiscal years <br /> Activity 3 (Basin Management Action Plan/Walk the WBID, BMAP/WTW) <br /> [ ] Yes, we wish to participate <br /> [ ] No, but we reserve the right to request participation in subsequent fiscal years <br /> The Co-Permittee selections shown above remain in effect for the duration of the Agreement unless <br /> otherwise modified by the Co-Permittee. Each Co-Permittee may elect to modify their selections shown <br /> above every fiscal year the Agreement remains in place. These modifications must be formally requested <br /> between January 1 and February 28 in order to become effective for the following fiscal year and for the <br /> duration of the Agreement unless further modifications are made by executing a new "Execution in <br /> Counterparts" form. <br /> P Ror E Vb. HIMIV1i <br /> Name of Manager (print) <br /> Signature Date <br /> • <br /> Cighc�rl \) . AlC, xghclCK <br /> Name of Clerk/ Legal Representative (print) <br /> sak a"(ft-- 7//u zn/ <br /> S$natu l- <br /> ate <br />